Transporta)onataCrossroads: Intersec)ngwithHealthandEquity - - PowerPoint PPT Presentation

November
2011
 Montana
Training
Session


Eloisa
Raynault
 Transporta;on,
Health
and
Equity
Program
Manager
 American
Public
Health
Associa;on


Transporta)on
at
a
Crossroads:
 Intersec)ng
with
Health
and
Equity


How
Transporta)on
Policy
Impacts
Health


Source:
Hidden
Health
Costs
of
Transporta)on,
Urban
Design
4
Health,
Inc.
and
APHA.


Health
Leaders’
Concerns


• Traffic
injuries
and
fatali)es:
$200B



• Obesity/overweight:
$117B

• Physical
inac)vity:
$76B


• Poor
air
quality:
$40‐$64B


• TOTAL:
$457B

• Plus…exacerba)ng
poverty
and


health
inequi)es
in
our
communi)es


Four
Key
Areas:


Obesity

 Safety
 Air
Quality
 Equity
and
Access


Obesity
and
Physical
Inac;vity


• Opportuni)es
to
be
physically
ac)ve
have
been
removed
from
daily
life

• Each
hour
spent
in
the
car
increases
the
risk
of
obesity
by
6%

• If
every
licensed
driver
reduced
their
travel
by
one
mile
per
day,
in
six
years


the
adult
obesity
rate
would
be
2.16
percent
lower…so
5
million
fewer
adults
 would
be
classified
as
obese


Safety



• Motor
vehicle
crashes
=
leading
cause
of
death
among
persons
1‐24
years
old

• 32,788
deaths
(2010),
declining
but
unacceptably
high

• SAFETY
FOR
OLDER
ADULTS:
4,092
pedestrians
were
killed
in
traffic
crashes


(2009);
16%
of
those
were
65+
=
654
killed


• SAFETY
FOR
KIDS:
490
children
injured
daily
in
motor
vehicle
crashes
(2009)


Photos
by
Dan
Burden,
PBIC


Air
Quality


• Kids
who
afend
school
near


highways
have
higher
incidence


• f
respiratory
problems

• Communi)es
near
highways


have
a
dispropor)onate
rate
of
 lung
cancer


• Exposure
to
traffic‐related
air


pollutants
is
associated
with
a
 30
percent
greater
risk
of
 premature
birth


Equity
and
Access


• Nearly
1/3
of
people
living
in
this
country


cannot
access
OR
afford
to
access
basic
needs


• Poorest
5th
of
US
families
pay
42%
of
their


income
to
own
and
drive
a
car



• Low‐income
neighborhoods
oien
lack
safe


places
to
walk,
bike
or
play


Opportuni)es


• Shii
from
a
model
that
mainly
moves
cars
to
a
model


that
moves
people
through
a
safe,
accessible,
affordable
 and
efficient
system
for
everyone:

  More
mass
transit
including
rail,
light
rail
and
bus
  Safe
Routes
to
School
  Complete
the
Streets
  Ac)ve
Transporta)on
  Invest
in
Safety
  Incorporate
Health
Impact
Assessments
(HIAs)


New
Research
and
Press 


More!
Oct‐Nov
2011
only… 


Transporta;on
Changes
Have
Health
Impacts


New TRB Health and Transportation Subcommittee: www.trbhealth.org

APHA’s
Free
Resources


 apha.org/transportation
  Factsheets
  Reports
  Webinars

  eNewsletter
  Case
studies


Eloisa
Raynault
 eloisa.raynault@apha.org
 Phone:
(202)
777‐2742


Protect,
Prevent,
Live
Well